Provider Demographics
NPI:1790904605
Name:AUDIOLOGICAL CONSULTANTS, INC.
Entity Type:Organization
Organization Name:AUDIOLOGICAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NORTHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSM
Authorized Official - Phone:303-761-7600
Mailing Address - Street 1:3575 S SHERMAN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3798
Mailing Address - Country:US
Mailing Address - Phone:303-761-7600
Mailing Address - Fax:303-762-1053
Practice Address - Street 1:3575 S SHERMAN ST STE 3
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3798
Practice Address - Country:US
Practice Address - Phone:303-761-7600
Practice Address - Fax:303-762-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04455093Medicaid
CO443778Medicare UPIN